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THE EFFECT OF THE COVID-19 PANDEMIC PROCESS ON COMMUNICATION BETWEEN PRE-HOSPITAL EMERGENCY HEALTH SYSTEM EMPLOYEES AND ONLINE MEDICAL CONTROL

Yıl 2022, Cilt: 7 Sayı: 2, 207 - 217, 29.08.2022
https://doi.org/10.54409/hod.1131452

Öz

Objectives: This study aims to evaluate the effects of the Covid-19 pandemic process on the communication between the pre-hospital emergency health system employee and online medical control.
Methods: The studobjectives: This study aims to evaluate the effects of the Covid-19 pandemic process on the communication between the pre-hospital emergency health system employee and online medical control.Methods: The study, which collected data collected between May-July 2021, was planned as descriptive. Five hundred health professionals working in the Turkish pre-hospital emergency health system participated in the study. The data were collected online with a 17-question questionnaire applied to the participants.
Results: 64.0% of the participants stated that they could always communicate with the online medical control during the regular period without any problems, and 55% of the participants stated that they were not adversely affected by communicating and consulting with the online medical control during the pandemic process, and 74.0% of the participants stated that they were unable to communicate with the online medical control during the pandemic period and that there aren’t situations where they could not perform the medication and/or medical intervention that should be done for the benefit of the patient. It is seen that the pandemic process has less effect on communication and consultation with the online medical control and has less effect on the inability to perform a medical intervention, which should be done for the benefit of the patient, in those who have effective communication with the online medical control and can conduct a positive consultation process.
Conclusion: The Covid-19 pandemic process adversely affected the communication between the pre-hospital emergency health system employee and the online medical control. This is a situation that can negatively affect the quality of pre-hospital emergency health system service and increase mortality.

Kaynakça

  • AAOS. (2014). EMS Systems, Roles, and Responsibilities. http://www.888maes911.com/ ParamedicSli-des/Chapter01__Compatibility_Mode_.pdf, 10.02.2021.
  • Amiry, A, Maguire, BJ. (2021). Emergency Medical Services (EMS) Calls During COVID-19: Early Lessons Learned for Systems Planning (A NarrativeReview). Open Access emergency medicine: OAEM. 13, 407–414.
  • Bronsky, E, Woodson, J. (2018). Effective Communication In EMS. https://www.jems.com/administration-and-leadership/effective-communication-in-ems/, 15.03.2021.
  • Coşkun, Ş. (2020). The first hand in the fight against Covid-19: 112. Anadolu Agency. https://www.aa.com.tr/tr/koronavirus/kovid-19-mucadelesindeki-ilk-el-112-/1816959, 23.06.2021.
  • Cullen, W, Gulati, G, Kelly, BD. (2020). Mental health in the COVID-19 pandemic, QJM: An International Journal of Medicine. 113 (5): 311–312.
  • Demir, S. (2017). Evaluation of Pre-Hospital Paramedics Getting Medication Approval from a Consultant Physician over the Phone. Selcuk University Health Sciences Institute First and Emergency Aid Department Master Thesis. Konya.
  • Duran, MS, Acar, M. (2020). What a Virus Could Do The World: Macroeconomic Effects of COVID-19 Pandemic. International Journal of Social and Economic Sciences. 10 (1), 54-67.
  • Eksi, A, Çelikli, S, Catak, I. (2015). Effects of the institutional structure and legislati ve framework on ambulance accidents in developing emergency medical services sys-tems. Turk. J. Emerg. Med. 15, 126–130.
  • Ekşi, A. (2016). Pre-Hospital Emergency Health Services Management in Mass Incidents. Kitapana. Izmir.
  • Hindmand, R, Maggiore W. (2011). Medical Control of Emergency Medical Services. J. Health & Life Sci. L. 4(2), 65-94.
  • Husain, S, Lyons, B, Hanson, K, Whorton, A. (2016). Medical Control for EMTS. King County, Wash, program offerssafety net forpatients, EMT sand the EMS system. JEMS: a Journal of Emergency Medical Services. 41(2),34-36. PMID: 27008728.
  • Jaffe, E, Sonkin, R, Strugo, R, Zerath, E. (2021). Evolution of emergency medical calls during a pandemic – An emergency medical service during the COVID-19 outbreak, The American Journal of Emergency Medicine. 43, 260-266, https://doi.org/10.1016/j.ajem.2020.06.039.
  • Jensen, T, Holgersen, MG, Jespersen, MS, Blomberg, SN, Folke, F, Lippert, F, Christensen HC. (2021). Strategies to Handle Increased Demand in the COVID-19 Crisis: A Coronavirus EMS Support Track and a Web-Based Self-Triage System, Prehospital Emergency Care. 25(1), 28-38.
  • Lerner, EB, Newgard, CD, Mann, NC. (2020). Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on the U.S. Emergency Medical Services System: A Preliminary Report, ACAD Emerg Med. 27(8), 693–699.
  • Naing L, Winn T, Rusli BN. (2006). Practical Issues in Calculating the Sample Size for Prevalence Studies, Archives of Orofacial Sciences, 1: 9-14.
  • Pfefferbaum, B, North, CS. (2020). Mental Health and the Covid-19 Pandemic, The New England Journal of Medicine. 383(6), 510-512.
  • Rai, B, Tennyson, J, Marshall, T. (2020). Retrospective Analysis of Emergency Medical Services (EMS) Physician Medical Control Calls, West J Emerg MeD. 21(3), 665–670.
  • Saberian, P, Conovaloff, JL, Vahidi, E, Sharamin, PH, Kolivand P. (2020). How the COVID-19 Epidemic Affected Prehospital Emergency Medical Services in Tehran, Western Journal of Emergency Medicine. 21(6),110-116.
  • Sanders, MJ. (2012). Mosby's Paramedic Text Book. Jones & Bartlett Learning. Burlington MA. USA.
  • Serra, HA, Blanton, D, O'Connor, RE. (1998). Physician medical direction in EMS, Prehospital Emergency Care. 2(2),153-157.
  • Stephen, S, Marc, E. (2021). Mobile Integrated Health Care in Los Angeles: Upstream Solutions to Mitigate the Covid-19 Pandemic, Massachusetts Medical Society. 2(2).
  • Şan, İ, Usul, E, Bekgöz, B, Korkut, S. (2020). Effects of COVID-19 Pandemic on Emergency Medical Services. Int J Clin Pract. 75 (5), e13885. doi: 10.1111/ijcp.13885.
  • Tift, FW, Nable, JV. (2020). Online Medical Control for EMS: A Lectureand Case-Based Teaching Module, Med Ed Portal. 15(16),10902.
  • Waldrop, DP, Waldrop, MR, McGinley, JM, Crowley, CR, Clemency, B. (2021). Prehospital providers’ perspectives about online medical direction in emergency end-of-life decision-making, Prehospital Emergency Care. 26(2), 223-232.

COVID-19 PANDEMİ SÜRECİNİN HASTANE ÖNCESİ ACİL SAĞLIK HİZMETLERİ ÇALIŞANI VE ON-LİNE MEDİKAL KONTROLÖR ARASINDAKİ İLETİŞİME ETKİSİ

Yıl 2022, Cilt: 7 Sayı: 2, 207 - 217, 29.08.2022
https://doi.org/10.54409/hod.1131452

Öz

Amaç: Bu çalışma, Covid-19 pandemi sürecinin hastane öncesi acil sağlık hizmetleri çalışanı ile on-line medikal kontrolör arasındaki iletişim üzerine etkilerini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Tanımlayıcı tipte planlanan çalışmanın verileri, Mayıs-Temmuz 2021 tarihleri arasında toplandı. Çalışmaya Türkiye hastane öncesi acil sağlık hizmetlerinde çalışan 500 sağlık profesyoneli katılmıştır. Veriler, katılımcılara uygulanan 17 soruluk anket ile on-line olarak toplanmıştır.
Bulgular: Katılımcıların %64,0'ı normal dönemde on-line medikal kontrolör ile sorunsuz iletişim kurabildiklerini, %55'i pandemi sürecinde on-line medikal kontrolör ile iletişim kurmanın ve müzakere etmenin olumsuz etkilenmediğini, %74,0'ı pandemi sürecinde on-line medikal kontrolör ile iletişim kuramadıkları için hasta yararına yapılması gereken ilaç ve/veya tıbbi müdahaleyi gerçekleştiremedikleri durumlar olmadığını ifade etmiştir. On-line medikal kontrolör ile etkili iletişimi olan ve olumlu bir müzakere süreci yürütebilen kişilerde, pandemi sürecinin on-line medikal kontrolör ile iletişim ve müzakere süreci üzerinde ve hasta yararına yapılması gereken bir tıbbi müdahalenin yapılamaması üzerinde daha az etkiye sahip olduğu görülmektedir.
Sonuç: Covid-19 pandemi süreci, hastane öncesi acil sağlık hizmetleri çalışanı ve on-line medikal kontrolör arasındaki iletişimi olumsuz etkiledi. Bu, hastane öncesi acil sağlık hizmetlerinin hizmet kalitesini olumsuz etkileyebilecek ve mortaliteyi arttırabilecek bir durumdur.

Kaynakça

  • AAOS. (2014). EMS Systems, Roles, and Responsibilities. http://www.888maes911.com/ ParamedicSli-des/Chapter01__Compatibility_Mode_.pdf, 10.02.2021.
  • Amiry, A, Maguire, BJ. (2021). Emergency Medical Services (EMS) Calls During COVID-19: Early Lessons Learned for Systems Planning (A NarrativeReview). Open Access emergency medicine: OAEM. 13, 407–414.
  • Bronsky, E, Woodson, J. (2018). Effective Communication In EMS. https://www.jems.com/administration-and-leadership/effective-communication-in-ems/, 15.03.2021.
  • Coşkun, Ş. (2020). The first hand in the fight against Covid-19: 112. Anadolu Agency. https://www.aa.com.tr/tr/koronavirus/kovid-19-mucadelesindeki-ilk-el-112-/1816959, 23.06.2021.
  • Cullen, W, Gulati, G, Kelly, BD. (2020). Mental health in the COVID-19 pandemic, QJM: An International Journal of Medicine. 113 (5): 311–312.
  • Demir, S. (2017). Evaluation of Pre-Hospital Paramedics Getting Medication Approval from a Consultant Physician over the Phone. Selcuk University Health Sciences Institute First and Emergency Aid Department Master Thesis. Konya.
  • Duran, MS, Acar, M. (2020). What a Virus Could Do The World: Macroeconomic Effects of COVID-19 Pandemic. International Journal of Social and Economic Sciences. 10 (1), 54-67.
  • Eksi, A, Çelikli, S, Catak, I. (2015). Effects of the institutional structure and legislati ve framework on ambulance accidents in developing emergency medical services sys-tems. Turk. J. Emerg. Med. 15, 126–130.
  • Ekşi, A. (2016). Pre-Hospital Emergency Health Services Management in Mass Incidents. Kitapana. Izmir.
  • Hindmand, R, Maggiore W. (2011). Medical Control of Emergency Medical Services. J. Health & Life Sci. L. 4(2), 65-94.
  • Husain, S, Lyons, B, Hanson, K, Whorton, A. (2016). Medical Control for EMTS. King County, Wash, program offerssafety net forpatients, EMT sand the EMS system. JEMS: a Journal of Emergency Medical Services. 41(2),34-36. PMID: 27008728.
  • Jaffe, E, Sonkin, R, Strugo, R, Zerath, E. (2021). Evolution of emergency medical calls during a pandemic – An emergency medical service during the COVID-19 outbreak, The American Journal of Emergency Medicine. 43, 260-266, https://doi.org/10.1016/j.ajem.2020.06.039.
  • Jensen, T, Holgersen, MG, Jespersen, MS, Blomberg, SN, Folke, F, Lippert, F, Christensen HC. (2021). Strategies to Handle Increased Demand in the COVID-19 Crisis: A Coronavirus EMS Support Track and a Web-Based Self-Triage System, Prehospital Emergency Care. 25(1), 28-38.
  • Lerner, EB, Newgard, CD, Mann, NC. (2020). Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on the U.S. Emergency Medical Services System: A Preliminary Report, ACAD Emerg Med. 27(8), 693–699.
  • Naing L, Winn T, Rusli BN. (2006). Practical Issues in Calculating the Sample Size for Prevalence Studies, Archives of Orofacial Sciences, 1: 9-14.
  • Pfefferbaum, B, North, CS. (2020). Mental Health and the Covid-19 Pandemic, The New England Journal of Medicine. 383(6), 510-512.
  • Rai, B, Tennyson, J, Marshall, T. (2020). Retrospective Analysis of Emergency Medical Services (EMS) Physician Medical Control Calls, West J Emerg MeD. 21(3), 665–670.
  • Saberian, P, Conovaloff, JL, Vahidi, E, Sharamin, PH, Kolivand P. (2020). How the COVID-19 Epidemic Affected Prehospital Emergency Medical Services in Tehran, Western Journal of Emergency Medicine. 21(6),110-116.
  • Sanders, MJ. (2012). Mosby's Paramedic Text Book. Jones & Bartlett Learning. Burlington MA. USA.
  • Serra, HA, Blanton, D, O'Connor, RE. (1998). Physician medical direction in EMS, Prehospital Emergency Care. 2(2),153-157.
  • Stephen, S, Marc, E. (2021). Mobile Integrated Health Care in Los Angeles: Upstream Solutions to Mitigate the Covid-19 Pandemic, Massachusetts Medical Society. 2(2).
  • Şan, İ, Usul, E, Bekgöz, B, Korkut, S. (2020). Effects of COVID-19 Pandemic on Emergency Medical Services. Int J Clin Pract. 75 (5), e13885. doi: 10.1111/ijcp.13885.
  • Tift, FW, Nable, JV. (2020). Online Medical Control for EMS: A Lectureand Case-Based Teaching Module, Med Ed Portal. 15(16),10902.
  • Waldrop, DP, Waldrop, MR, McGinley, JM, Crowley, CR, Clemency, B. (2021). Prehospital providers’ perspectives about online medical direction in emergency end-of-life decision-making, Prehospital Emergency Care. 26(2), 223-232.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Sezgin Durmuş 0000-0002-8702-8406

Ali Ekşi 0000-0003-1559-6057

Süreyya Gümüşsoy 0000-0001-5708-8988

Sevgi Öztürk 0000-0001-5339-9623

Yayımlanma Tarihi 29 Ağustos 2022
Gönderilme Tarihi 15 Haziran 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 7 Sayı: 2

Kaynak Göster

APA Durmuş, S., Ekşi, A., Gümüşsoy, S., Öztürk, S. (2022). THE EFFECT OF THE COVID-19 PANDEMIC PROCESS ON COMMUNICATION BETWEEN PRE-HOSPITAL EMERGENCY HEALTH SYSTEM EMPLOYEES AND ONLINE MEDICAL CONTROL. Hastane Öncesi Dergisi, 7(2), 207-217. https://doi.org/10.54409/hod.1131452